Abnormal uterine bleeding (AUB) is irregular menstrual bleeding (usually heavy, prolonged, or frequent); it is a diagnosis of exclusion after establishment of normal anatomy and the ...
Menstrual history
Onset, severity (quantified by pad/tampon use, presence and size of clots), timing of bleeding (unpredictable or episodic)
Menorrhagia with onset of menarche is sugges...
Once stable from acute management, recommend follow-up evaluation in 4 to 6 months for further evaluation (6).
Routine follow-up with a primary care or OB/GYN prov...
Goldstein SR, Lumsden MA. Abnormal uterine bleeding in perimenopause. Climacteric. 2017;20(5):414–420.
Lethaby A, Cooke I, Rees M. Progesterone or progestogen-releasing intraut...
N93.9 Abnormal uterine and vaginal bleeding, unspecified
N93.8 Other specified abnormal uterine and vaginal bleeding
N91.2 Amenorrhea, unspecified
N92.3 Ovulation bleeding
N92.2 Excessive menst...
AUB is irregular bleeding that occurs in the absence of pregnancy or pathology, making it a diagnosis of exclusion.
Anovulation accounts for 90% of AUB.
An EMB should be performed in all...
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Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery crosses over the ureter and is ligated beyond this point at the uterine corpus. (<bold>B</bold>) Hypogastric artery ligation. Ligation of the anterior division of the internal iliacartery is performed after careful identification and retraction of the ureter, which usually overlies the bifurcation of the iliac artery into the external and internal iliac branches. (C) "Lynch" suture, compressing endometrial vascular bed as well as uterine arteries.
Figure 12.2. Surgical treatment of atonic uterine hemorrhage. (<bold>A</bold>) Ligation of the uterine artery. The artery cross...